Evidence map›Paper›PMID 42493638›Full record

SynthesisJournal of neurology2026

Sleep disturbances in tension-type headache: a systematic review and meta-analysis.

Lu Yuan, Pantila Kulachai, Qiao-Mei Wu, Yu-Xin Zhang, Xin-Ying Niu, Jing-Tao Liang, Hui Zheng

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lu YuanThe Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Avenue, Wenjiang District, Chengdu, 611100, China.ORCID http://orcid.org/0009-0000-8972-8329
Pantila KulachaiThe Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Avenue, Wenjiang District, Chengdu, 611100, China.
Qiao-Mei WuThe Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Avenue, Wenjiang District, Chengdu, 611100, China.
Yu-Xin ZhangThe Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Avenue, Wenjiang District, Chengdu, 611100, China.
Xin-Ying NiuThe Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Avenue, Wenjiang District, Chengdu, 611100, China.
Jing-Tao LiangHospital of Chengdu University of Traditional Chinese Medicine, No. 39-41, Shierqiao Road, Jinniu District, Chengdu, 610075, China. oliveliang@aliyun.com.
Hui ZhengThe Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Avenue, Wenjiang District, Chengdu, 611100, China. zhenghui@cdutcm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTension-type headache (TTH) is the most common primary headache, yet accompanying sleep disturbances have not been quantitatively synthesized.

methodsPubMed, Embase, Web of Science, and the Cochrane Library were searched from inception to January 3, 2026, for observational studies reporting sleep outcomes in adults with TTH. The primary outcome was the prevalence of poor sleep quality assessed with the Pittsburgh sleep quality index (PSQI). Pooled estimates were calculated using random-effects models. Study quality was assessed with Joanna Briggs Institute checklists.

resultsTwenty-seven studies were included. Pooled prevalence of poor sleep quality in TTH was 67% (95% CI 53-79%; I

conclusionsPoor subjective sleep quality is common in TTH, particularly among patients presenting to clinical settings, and is associated with depressive symptoms, with exploratory associations with headache burden, supporting consideration of sleep assessment in the clinical evaluation of TTH.

Indexed as

Sleep Wake DisordersTension-Type HeadacheHumansSleep QualityInsomniaMeta-analysisPittsburgh sleep quality indexTension-type headache

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.